Paediatric anaesthesia
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To determine current practice in the use of pediatric breathing systems in the UK. ⋯ Despite significant improvements to the pediatric circle system and its practical advantages, the T-Piece remains the commonest breathing system used in smaller children by UK members of the APA.
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Paediatric anaesthesia · May 2009
Intraoperative opioid dosing in children with and without cerebral palsy.
To describe the differences in intraoperative opioid dosing and associated outcomes in children with and without cerebral palsy (CP). ⋯ Similar to prior research on children with cognitive impairment, a reduction in intraoperative opioid dosing was found in children with CP. Given the discrepant doses of intraoperative opioid between groups, it is unclear whether children with CP are at any greater risk for untoward opioid-related events.
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Paediatric anaesthesia · May 2009
The importance of flow and pressure release in emergency jet ventilation devices.
Several self-assembled devices, consisting of a three-way stopcock connected to a high pressure oxygen source, have been proposed for transtracheal jet ventilation in an emergency situation. As a three-way stopcock acts as a 'flow splitter' it will, when connected to a continuous oxygen flow, never ensure total flow and pressure release through its side port. The aim of the present study was to measure the efficacy of flow and pressure release of three previously described self-assembled jet devices and one commercially available tool. ⋯ In case of complete upper airway obstruction the OFM provides sufficient flow and pressure release, whereas the self-assembled jet devices tested are inherently dangerous constructions.
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Paediatric anaesthesia · May 2009
Letter Case ReportsIatrogenic endotracheal tube obstruction with foam face padding.